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• <br /> y CITY OF EVERETT <br /> UTILITIES <br /> z 4 . PERMIT PERMIT SERVICES <br /> PERMI 1 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> $ ., (425)257-8810 <br /> PERMIT NUMBER U1609-041 DATE: 09/16/2016 <br /> JOB ADDRESS 4101 CDLYMPIC BLVD LEGAL DESCRIPTION HARBOR VIEW ADID TO EVERETT <br /> rtq DESCRIPTION WA1'1✓-R,SEWER FOR RELOCATED LION HOUSE APN: 00464700006600 <br /> QWr>Ex CAWDRE'S DAN P.SR. TENANT <br /> 1264N 123RDST <br /> CONTRACTOR CAWDREY DAN P.SR. n <br /> SHORELIIJE WA 98133 <br /> 1264 N 123RD ST <br /> SHORELINE WA 98133 <br /> PHONE 206634360 T <br /> PHONE 2066343601 <br /> IWATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR l 0.00 SO-13802APP- <br /> 18793 <br /> IAPP 18793 <br /> 1 <br /> SW 2ERINSTALLLATION DATE IC)- I 2-- I ( BY 1-::::-,4, <br /> MEIF•.RNO, 7 ! U / SGE 3/5, " <br /> ,,BACKFLOW DEVICE SERIAL NO.. <br /> B.F.NO. i 5-'1 ` &3 to 9©Q iR BACKFLOW.DEVICE SERIAL NO. <br /> BRAND isetT44A,it-4.r D <br /> MODEL N <br /> METER ISTALLATION DAT IZ / BY 7A • <br /> WATER ON OPPX LOCKED OUT K BY '.CAL TSG <br /> REMARKS; <br /> . <br /> ISEWER SERVYCE <br /> f:1 PERMIT NO. SP-16884 PERMIT TYPE NEW CONNECTION I LID NO. <br /> RE1V1ARKS; Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 • <br /> .. <br /> I INSPECTED BY: I DATE <br /> i <br /> FEES ' <br /> t- <br /> SEWER UTILITY FEE $70.00 <br /> * WATER UTILITY FEE $2514.00 <br /> t <br /> { <br /> TOTAL FEES $2,584.00 <br /> x it <br /> I PERMIT - <br /> NUMBER U1609-041 I <br /> UTILITIES COPY J i <br /> .....a 2t.'tte=�T u..ai_ -ksa.�:a63.r. .a.s ....<o.tba✓a".,i�..•,..$f' <br />